The effect of using a kaleidoscope during central venous catheter dressing changes on pain and anxiety in children with cancer: A randomised controlled trial

Bekar P., Erkul M., Efe E.

EUROPEAN JOURNAL OF ONCOLOGY NURSING, cilt.57, ss.102114, 2022 (SCI-Expanded)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 57
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1016/j.ejon.2022.102114
  • Dergi Adı: EUROPEAN JOURNAL OF ONCOLOGY NURSING
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, ASSIA, CINAHL, EMBASE, MEDLINE, Psycinfo
  • Sayfa Sayıları: ss.102114
  • Akdeniz Üniversitesi Adresli: Evet

Özet

Purpose

Many medical interventions, including the dressing changes of central venous catheters, a common procedure used for children with cancer, cause pain and anxiety in children. This can adversely affect their care and recovery. This study aims to evaluate the effect of using a kaleidoscope on reducing pain and anxiety in children with cancer during central venous catheter dressing changes.

Methods

This was a parallel randomised controlled trial with 60 children aged 6–12 diagnosed with cancer who were placed either in a kaleidoscope group (n = 30) or a control group (n = 30). Each child's anxiety was evaluated by the child using the Children's Fear Scale before, during, and after a central venous catheter dressing change, and each child's pain during and after the procedure was evaluated by the child using the Wong-Baker Faces Pain Rating Scale (WB-FACES). Each child's heart rate and oxygen saturation were measured with a pulse oximeter device before, during, and after central venous catheter dressing changes.

Results

Pain and anxiety scores were significantly lower in the kaleidoscope group than in the control group during and after central venous catheter dressing changes (both p < 0.001). During the procedure, the oxygen saturation values were higher (p <0 .05), and the heart rate was lower (p < 0.001) in the kaleidoscope group compared to the control group.

Conclusion

Distraction with a kaleidoscope was an effective method for pain and anxiety relief during central venous catheter dressing changes in children. ClinicalTrials.gov NCT04924023.